Journal of Professional Exercise Physiology           
                                                              Vol 2 No 7 July 2004
 
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Dedicated to Exercise Physiology as a Healthcare Profession
The Implications of Professionalism
Jillian Johnson
Graduate Student
Department of Exercise Physiology
The College of St. Scholastica
Duluth, MN 55811
“All professionals share the same professional base, an accredited academic degree.”  --  William T. Boone
Professionalism is a very important topic.  The definition of professionalism is a commitment to one’s work and an orientation towards service rather than personal profit [1].  A patient would like to believe that all healthcare workers are professional.  A patient trusts his/her medical care to the professional and should not have to fear unqualified and negligent professionals. Negligence is defined as the failure to conform one’s conduct to a generally accepted standard of conduct or duty.  Here lies the problem because there is no defined standard of conduct until the founding of the American Society of Exercise Physiologists [2]. 

Having numerous and different kinds of exercise science and exercise physiology programs across the country further complicates the problem.  In fact, The College of St.Scholastica has one of only a few actual academic-degreed exercise physiology program in the United States.  The rest of the programs throughout the colleges and universities are kinesiology, exercise science, or human performance programs.  They are not exercise physiology programs of study.  This is a huge problem for students who want to be an exercise physiologist.  

These programs may be good programs, but without a standardized and credible curriculum, there is no way to be absolutely sure.  Accreditation plays an important role in standardization.  ASEP is now in the process of accrediting exercise physiology programs.  This is a big step towards the future development of exercise physiology. It is only common sense that exercise physiologists need to be properly educated to work in exercise physiology as an emerging healthcare profession.  Certification is also important to professionalism and professional development.  It shows that the candidate can actually demonstrate specific skills.  This is currently done by the EPC (Exercise Physiologist Certified) exam, which includes a practical and written component [3, 4].  

ASEP has emerged as an organization for the exercise physiologist, but exercise physiologists need to leave sports medicine and join their own professional organization.  Before ASEP there was no code of ethics [5].  How can an exercise physiologist be held accountable when there is no standard to which exercise physiologists are held?  This is why licensed nurses and physical therapists are taking our jobs.  They appear to be more credible with certification and licensure.  This is also why ASEP is working hard to get licensure for exercise physiologists [6].

Exercise physiologists can treat a variety of patients in the healthcare realm including: (1) cardiac; (2) pulmonary; (3) diabetic; (4) patients with orthopedic problems, osteoporosis, depression; and (5) other ailments.  We need to get involved in these area before other established professions keep us from doing so do their updated licensure laws.  We need to step up and create healthcare programs and show the public that we are more than qualified for the job.  Even cardiac and pulmonary rehabilitation is presently being taken over by nurses and physical therapists, who are generally less qualified and know less about cardiovascular physiology than exercise physiologists.

In conclusion, professionalism is a vital part of the future of exercise physiology.  Without a professional organization like ASEP exercise physiology will certainly lose it’s niche in the healthcare field.  It this were to happen, the only exercise physiologists who would benefit are the academic professors who do research and attend meetings and conferences.  The public can definitely benefit from the rehabilitative and patient education services we can provide.  Students from all across the United States must get involved in the professional development of exercise physiology by joining the American Society of Exercise Physiologists. 
 

References
1. Boone, T. (2001).  Professional Development of Exercise Physiology. Lewiston, NY: The Edwin Mellen Press.
2. American Society of Exercise Physiologists. (2004). ASEP Home Page. [Online]. http://www.asep.org/
3. American Society of Exercise Physiologist.  (2004). Board of Accreditation for Exercise Physiologists. [Online]. http://www.exercisephysiologists.com/boardofaccreditation/index.html
4. American Society of Exercise Physiologists. (2004). Board of Certification for Exercise Physiologists. [Online]. http://www.exercisephysiologists.com/boardofcertification/index.html
5. American Society of Exercise Physiologists. (2004). Code of Ethics. [Online]. http://www.asep.org/ethics.htm
6. American Society of Exercise Physiologists. (2004). Board of Licensure for Exercise Physiologists. [Online]. http://www.exercisephysiologists.com/boardoflicensure/index.html